Individual provider Active NPI

Deena Altman Spital, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Sandy Springs, GA
National Provider Identifier
1053717850
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7331 Issued in GA
Practice address
5881 Glenridge Dr Ste 250
Sandy Springs, GA 30328-6169
Phone
(770) 370-7188
Fax
(770) 370-7400
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7331 GA Primary
Medical Physician Assistant 363AM0700X 7331 GA
Psychiatry Physician 2084P0800X 7331 GA

Addresses

Primary practice location

5881 Glenridge Dr Ste 250
Sandy Springs, GA 30328-6169

Mailing address

5881 Glenridge Dr Ste 250
Sandy Springs, GA 30328-6169
Phone (404) 273-1257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1053717850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR STE 250",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286169",
            "telephone_number": "404-273-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR STE 250",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286169",
            "telephone_number": "770-370-7188",
            "fax_number": "770-370-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITAL",
        "first_name": "DEENA",
        "middle_name": "ALTMAN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7331",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7331",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "7331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.